Late paperwork disqualifies Kidney Dialysis Patient Protection Amendment after campaign gathered more than 340,000 signatures

The amendment’s chief opponent identified that four (of more than 1,100) individuals involved in the signature-gathering process were late in filing forms indicating that they would be paid. A 2013 state law provided that if even one person was late in filing this Form 15, the entire petition effort was disqualified. The Ohio Supreme Court sided with the opponents and upheld the constitutionality of the law, despite its harsh penalty. The decision invalidated the entire petition, preventing Ohioans from voting on the proposal to improve protections for kidney dialysis patients.

Proponents:

Opposed by:

Service Employees International Union District (SEIU-UHW West), a labor organization

The Ohio Renal Association (representing dialysis clinics)

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Proponents brought forward an amendment to:

  • Mandate annual state inspections of dialysis clinics.

  • Require new standards for hygiene, sanitation and infection control.

  • Limit the amount clinics can charge to 115 percent of what they spend on patient care, to be determined by the state Health Department. Overcharges would be refunded to the insurer.

Link: OHIO-Fact-Sheet.pdf

Opponents argued:

  • Clinics are already regulated under Medicare and state law.

  • State health officials regularly inspect clinics.

  • The proposed cap on charges doesn't take into account personnel and other services for operating the business.

  • The dialysis companies may lose money on patients covered by government programs and make up for it with higher charges to private insurance.

Link: Ohioans could see costly campaign fight over dialysis issue in November - cleveland.com

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Signature gathering completed Aug. 1:

  • 296,080 valid signatures gathered by July 4, 2018.

  • At least 305,591 signatures were required to get it on the ballot, however.

  • By Ohio Constitution, proponents were given 10 additional days to gather additional signatures to meet the shortfall.

  • Additional signatures to more than compensate for the shortfall were submitted Aug. 1.

Lawsuit filed on Aug 2:

  • Plaintiff argued signatures were invalid because documentation required for paid signature gathering efforts was not filed prior to circulation.

  • The Ohio Supreme Court ruled in favor of the plaintiffs.

LINK: Ohio Renal Assn. v. Kidney Dialysis Patient Protection Amendment Commt.

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Result:

  • Because just 4 of more than 1,100 individuals paid to help with the petition were late in filing the form disclosing they would be paid, the entire petition effort was disqualified.

Result:

The Supreme Court decision became the real election.

Once the petition was disqualified:

  • No vote

  • No campaign

  • No public decision

  • No accountability for opponents’ claims

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Timeline of the initiative:

What happened
Date(s)
Step

Letter from the Ohio Ballot Board (Secretary of State Jon Husted as chair) to AG DeWine certifies the proposal contains a single constitutional amendment

Link: Ballot Board determination that the proposed constitutional amendment regarding Kidney Dialysis Patient Protection contains a single constitutional amendment

February 20, 2018

Ballot board certified petition

Statewide signature drive after Board approval

February to June 2018

Signatures gathered

After county boards of elections verified signatures, Secretary of State Jon Husted reported that only 296,080 signatures were valid—9,511 short of the required 305,591 initiative signatures.

Link: Ohio Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018) - Ballotpedia

July 2018

Petitions filed and signatures reviewed

10-day cure period provided to gather and submit more signatures An additional 41,000 unverified signatures submitted to erase the 9,511-signature deficit

Link: Ohio Limits on Dialysis Clinics' Revenue and Required Refunds Initiative (2018) - Ballotpedia

July 23-August 2, 2018

Unique supplemental petition

Decision meant the amendment could not be put on the ballot

Link: 08/13/2018 Case Announcements #2

August 13, 2018

Ohio Supreme Court ruled